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Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Informado pelas cr\u00edticas sobre o fim do paradigma da excepcionalidade nas respostas \u00e0 aids no Brasil, o trabalho analisa as concep\u00e7\u00f5es e pr\u00e1ticas de comunica\u00e7\u00e3o sobre preven\u00e7\u00e3o do HIV por parte de agentes governamentais e suas implica\u00e7\u00f5es simb\u00f3licas e program\u00e1ticas. A reflex\u00e3o integra uma pesquisa mais ampla com usu\u00e1rios, profissionais e gestores de cinco programas municipais de HIV e\/ou aids da Regi\u00e3o Metropolitana do Rio de Janeiro, Brasil, e do Governo Federal. A partir das contribui\u00e7\u00f5es das ci\u00eancias sociais para o entendimento das representa\u00e7\u00f5es e pr\u00e1ticas sociais em sa\u00fade, a investiga\u00e7\u00e3o envolveu: an\u00e1lise de entrevistas com gestores (federais e locais) e profissionais de sa\u00fade acerca das estrat\u00e9gias de comunica\u00e7\u00e3o da preven\u00e7\u00e3o combinada (PC) e das profilaxias pr\u00e9-exposi\u00e7\u00e3o (PrEP) e p\u00f3s-exposi\u00e7\u00e3o (PEP) ao HIV; e an\u00e1lise de 24 pe\u00e7as de comunica\u00e7\u00e3o sobre PC, PrEP e PEP. Os agentes governamentais relataram estrat\u00e9gias de divulga\u00e7\u00e3o da PrEP e PEP para os profissionais de sa\u00fade, por meio de material de consulta e oficinas, frente \u00e0 rotatividade desse grupo e \u00e0s resist\u00eancias de cunho moral e \u00e9tico-pol\u00edtico. Por\u00e9m, a divulga\u00e7\u00e3o p\u00fablica das profilaxias \u00e9 discreta ou se d\u00e1 no plano digital. A explora\u00e7\u00e3o dos sentidos das pe\u00e7as de comunica\u00e7\u00e3o indica uma \u00eanfase na dimens\u00e3o cl\u00ednica das profilaxias nos materiais governamentais e nas pe\u00e7as das organiza\u00e7\u00f5es n\u00e3o-governamentais, em que h\u00e1 maior contextualiza\u00e7\u00e3o das estrat\u00e9gias de PC para as cenas, pr\u00e1ticas e identidades sexuais. Nota-se um deslizamento das estrat\u00e9gias de comunica\u00e7\u00e3o para uma gram\u00e1tica informada pela disponibilidade de biotecnologias e sua enuncia\u00e7\u00e3o dispersa. A fragiliza\u00e7\u00e3o da comunica\u00e7\u00e3o governamental na era da PC compromete a efetiva\u00e7\u00e3o do direito \u00e0 preven\u00e7\u00e3o.<\/jats:p>","DOI":"10.1590\/0102-311xpt100524","type":"journal-article","created":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T15:05:49Z","timestamp":1759503949000},"source":"Crossref","is-referenced-by-count":3,"title":["Comunica\u00e7\u00e3o da PrEP e da PEP no Brasil: explora\u00e7\u00e3o dos sentidos de pe\u00e7as comunicacionais e an\u00e1lise das concep\u00e7\u00f5es de agentes governamentais"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4854-3429","authenticated-orcid":false,"given":"Claudia Mora","family":"C\u00e1rdenas","sequence":"first","affiliation":[{"name":"Universidade do Estado do Rio de Janeiro,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2009-1790","authenticated-orcid":false,"given":"Simone Souza","family":"Monteiro","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"The imperative of health","first-page":"106","volume-title":"Communicating health: the mass media and advertising in health promotion","author":"Lupton D","year":"1995"},{"key":"ref2","series-title":"O medicamento como mercadoria simb\u00f3lica","author":"Lef\u00e8vre F","year":"1991"},{"key":"ref3","series-title":"Comunica\u00e7\u00e3o e sa\u00fade","author":"Ara\u00fajo I","year":"2007"},{"key":"ref4","series-title":"De sil\u00eancio e som: a produ\u00e7\u00e3o de sentidos nos discursos pr\u00f3-aleitamento materno contempor\u00e2neos","author":"Kalil I","year":"2016"},{"key":"ref5","series-title":"Dos meios \u00e0s media\u00e7\u00f5es: comunica\u00e7\u00e3o, cultura e hegemonia","author":"Mart\u00edn-Barbero J","year":"2003"},{"key":"ref6","series-title":"Educa\u00e7\u00e3o, comunica\u00e7\u00e3o e tecnologia educacional","author":"Vargas E","year":"2006"},{"key":"ref7","first-page":"71","article-title":"Uma doen\u00e7a no espa\u00e7o p\u00fablico. 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